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Establishing and Evaluating the Key Functions of an Interactive Systems Framework Using an Assets-Getting to Outcomes Intervention

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American Journal of Community Psychology

Abstract

Community practitioners can face difficulty in achieving outcomes demonstrated by prevention science. Building a community practitioner’s prevention capacity—the knowledge and skills needed to conduct critical prevention practices—could improve the quality of prevention and its outcomes. The purpose of this article is to: (1) describe how an intervention called Assets-Getting To Outcomes (AGTO) was used to establish the key functions of the ISF and present early lessons learned from that intervention’s first 6 months and (2) examine whether there is an empirical relationship between practitioner capacity at the individual level and the performance of prevention at the program level—a relationship predicted by the ISF but untested. The article describes an operationalization of the ISF in the context of a five-year randomized controlled efficacy trial that combines two complementary models designed to build capacity: Getting To Outcomes (GTO) and Developmental Assets. The trial compares programs and individual practitioners from six community-based coalitions using AGTO with programs and practitioners from six similar coalitions that are not. In this article, we primarily focus on what the ISF calls innovation specific capacity and discuss how the combined AGTO innovation structures and uses feedback about its capacity-building activities, which can serve as a model for implementing the ISF. Focus group discussions used to gather lessons learned from the first 6 months of the AGTO intervention suggest that while the ISF may have been conceptualized as three distinct systems, in practice they are less distinct. Findings from the baseline wave of data collection of individual capacity and program performance suggest that practitioner capacity predicts, in part, performance of prevention programs. Empirically linking practitioner capacity and performance of prevention provides empirical support for both the ISF and AGTO.

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Notes

  1. Getting to Outcomes and “GTO” are registered trademarks of the RAND Corporation and the University of South Carolina.

  2. Developmental Assets is a registered trademark of Search Institute.

  3. US Census 2000.

  4. According to the 2006 Maine Youth Drug and Alcohol Use Survey (http://www.maine.gov/dhhs/osa/data/mydaus/mydaus2006.htm).

  5. This interview is described in more detail under Measures, Program Performance.

  6. Nine programs folded between the time the study was planned and begun, leaving only 51 programs.

References

  • Ajzen, I., & Fishbein, M. (1977). Attitude-behavior relations: A theoretical analysis and review of empirical research. Psychological Bulletin, 84, 888–918.

    Article  Google Scholar 

  • Backer, T. E. (2001). Finding the balance: Program fidelity and adaptation in substance abuse prevention: A state-of-the-art review. Rockville, MD: Substance Abuse and Mental Health Administration.

    Google Scholar 

  • Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164.

    Article  Google Scholar 

  • Bartholomew, L. K., Parcel, G. S., Kok, G., & Gottleib, N. H. (2001). Changing behavior and environment: How to plan theory- and evidence-based disease management programs. In R. Patterson (Ed.), Changing patient behavior: Improving outcomes in health and disease management (pp. 73–112). San Francisco, CA: Joey-Bass.

    Google Scholar 

  • Battelle. (2008). Annual findings report: Drug-free communities support program national evaluation. Washington, DC: Executive Office of the President Office of Administration Office of National Drug Control Policy (unpublished manuscript).

  • Benson, P. L. (2002). Toward asset-building communities: How does change occur? In R. M. Lerner & P. L. Benson (Eds.), Developmental assets and asset-building communities: Implications for research policy and practice. Norwell, MA: Kluwer.

    Google Scholar 

  • Benson, P. L., & Scales, P. C. (in press). Developmental assets. In R. J. R. Levesque (Ed.), Encyclopedia of adolescence. New York, NY: Springer.

  • Benson, P. L., Scales, P. C., Leffert, N., & Roehlkepartain, E. R. (1999). A fragile foundation: The state of developmental assets among American youth. Minneapolis, MN: Search Institute.

    Google Scholar 

  • Benson, P. L., Scales, P. C., & Mannes, M. (2003). Developmental strengths and their sources: Implications for the study and practice of community building. In R. M. Lerner, F. Jacobs, & D. Wertlieb (Eds.), Handbook of applied developmental science: Vol. 1: Applying developmental science for youth and families (pp. 369–406). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Benson, P. L., Scales, P. C., & Syvertsen, A. K. (in press). The contribution of the developmental assets framework to positive youth development theory and practice. In R. M. Lerner, J. V. Lerner, & J. B. Benson (Eds.), Advances in child development and behavior: Positive youth developmentresearch and applications for promoting thriving in adolescence. New York, NY: Elsevier.

  • Botvin, G. J., Baker, E., Dusenbury, L., Botvin, E. M., & Diaz, T. (1995). Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. Journal of the American Medical Association, 273(14), 1106–1112.

    Article  PubMed  Google Scholar 

  • Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1993). Community coalitions for prevention and health promotion. Health Education Research, 8, 315–330.

    Article  PubMed  Google Scholar 

  • Chinman, M., Early, D., Ebener, P., Hunter, S., Imm, P., Jenkins, P., et al. (2004). Getting to outcomes: A community-based participatory approach to preventive interventions. Journal of Interprofessional Care, 18, 441–443.

    Article  PubMed  Google Scholar 

  • Chinman, M., Hannah, G., Wandersman, A., Ebener, P., Hunter, S., Imm, P., et al. (2005). Developing a community science research agenda for building community capacity for effective preventive interventions. American Journal of Community Psychology, 3(4), 143–157.

    Article  Google Scholar 

  • Chinman, M., Hunter, S., Ebener, P., Paddock, S., Stillman, L., Imm, P., et al. (2008). The Getting To Outcomes demonstration and evaluation: An illustration of the Prevention Support System. American Journal of Community Psychology, 41, 206–224.

    Article  PubMed  Google Scholar 

  • Chinman, M., Tremain, B., Imm, P., & Wandersman, A. (2009). Strengthening prevention performance using technology: A formative evaluation of interactive Getting To Outcomes. The American Journal of Orthopsychiatry, 79, 469–481.

    Article  PubMed  Google Scholar 

  • Donner, A., & Klar, N. (2004). Pitfalls of and controversies in cluster randomization trials. American Journal of Public Health, 94(3), 416–422.

    Article  PubMed  Google Scholar 

  • Eggert, L. L., Thompson, E. A., Herting, J. R., Nicholas, L. J., & Dicker, B. G. (1994). Preventing adolescent drug abuse and high school dropout through an intensive school-based social network development program. American Journal of Health Promotion, 8(3), 202–215.

    Article  PubMed  Google Scholar 

  • Fetterman, D. M., & Wandersman, A. (Eds.). (2005). Empowerment evaluation principles in practice. New York, NY: Guilford Press.

  • Fishbein, M., & Ajzen, I. (1974). Attitudes toward objects as predictive of single and multiple behavioral criteria. Psychological Review, 81, 59–74.

    Article  Google Scholar 

  • Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Fisher, D., Imm, P. S., Chinman, M., & Wandersman, A. (2006). Getting To Outcomes with developmental assets: Ten steps to measuring success in youth programs and communities. Minneapolis, MN: Search Institute.

    Google Scholar 

  • Glaser, B. G. (1965). The constant comparative method of qualitative analysis. Social Problems, 12(4), 436–445.

    Article  Google Scholar 

  • Green, L. (2001). From research to "best practices" in other settings and populations. American Journal of Health Behavior, 25(3), 165–178.

    Article  PubMed  Google Scholar 

  • Green, L. W., Kreuter, M. W., Deeds, S. G., & Partridge, K. B. (1980). Health education planning model (PRECEDE). In L. W. Green, et al. (Eds.), Health education planning. Palo Alto, CA: Mayfield Publishing Company.

    Google Scholar 

  • Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64–105.

    Article  PubMed  Google Scholar 

  • Hawkins, J. D., Oesterle, S., Brown, E. C., Arthur, M. W., Abbott, R. D., Fagan, A. A., et al. (2009). Results of a type 2 translational research trial to prevent adolescent drug use and delinquency: A test of communities that care. Archives of Pediatric and Adolescent Medicine, 163(9), 789–798.

    Article  Google Scholar 

  • Hunter, S. B., Chinman, M., Ebener, P., Imm, P., Wandersman, A., & Ryan, G. (2009a). Technical assistance as a prevention capacity-building tool: A demonstration using the Getting To Outcomes framework. Health Education and Behavior, 36, 810–828.

    Article  PubMed  Google Scholar 

  • Hunter, S., Paddock, S., Ebener, P., Burkhart, Q., & Chinman, M. (2009b). Promoting evidence based practices: The adoption of a prevention support system in community settings. The Journal of Community Psychology, 37(5), 579–593.

    Article  Google Scholar 

  • Kegler, M. C., & Wyatt, V. H. (2003). A multiple case study of neighborhood partnerships for positive youth development. American Journal of Health Behaviour, 27(2), 156–169.

    Article  Google Scholar 

  • Kitson, A., Harvey, G., & McCormack, B. (1998). Enabling the implementation of evidence based practice: A conceptual framework. Quality in Health Care, 7, 149–158.

    Article  PubMed  Google Scholar 

  • Leffert, N., Benson, P. L., Scales, P. C., Sharma, A. R., Drake, D. R., & Blyth, D. A. (1998). Developmental assets: Measurement and prediction of risk behaviors among adolescents. Applied Developmental Science, 2, 209–230.

    Article  Google Scholar 

  • Lehman, W. E. K., Greener, J. M., & Simpson, D. D. (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment, 22(4), 197–209.

    Article  PubMed  Google Scholar 

  • Miller, T., & Hendrie, D. (2009). Substance abuse prevention dollars and cents: A cost-benefit analysis (DHHS Pub. No. (SMA) 07-4298). Rockville, MD: Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration.

  • Mitchell, R. E., Stone-Wiggins, B., Stevenson, J. F., & Florin, P. (2004). Cultivating capacity: Outcomes of a statewide support system for prevention coalitions. Journal of Prevention & Intervention in the Community, 27(2), 67–87.

    Article  Google Scholar 

  • National Prevention Council. (2011). National Prevention Strategy. Washington, DC: US Department of Health and Human Services, Office of the Surgeon General.

    Google Scholar 

  • O’Donnell, L., Scattergood, P., Adler, M., Doval, A. S., Barker, M., Kelly, J. A., et al. (2000). The role of technical assistance in the replication of effective HIV interventions. AIDS Education and Prevention, 12(5 Suppl), 99–111.

    PubMed  Google Scholar 

  • Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York: Free Press.

    Google Scholar 

  • Rosenheck, R. A. (2001). Organizational process: A missing link between research and practice. Psychiatric Services, 52, 1607–1612.

    Article  PubMed  Google Scholar 

  • Rubenstein, L. V., Mittman, B. S., Yano, E. M., & Mulrow, C. D. (2000). From understanding health care provider behavior to improving health care: the QUERI framework for quality improvement. Quality Enhancement Research Initiative. Medical Care, 38, 129–141.

    Article  Google Scholar 

  • Rycroft-Malone, J., Harvey, G., Seers, K., Kitson, A., McCormack, B., & Titchen, A. (2002). An exploration of the factors that influence the implementation of evidence into practice. Journal of Clinical Nursing, 13, 913–924.

    Article  Google Scholar 

  • Scales, P. C. (1999). Reducing risks and building developmental assets: Essential actions for promoting adolescent health. Journal of School Health, 69(3), 113–119.

    Article  PubMed  Google Scholar 

  • Scales, P. C. (in press). Youth developmental assets in global perspective: Results from international adaptations of the Developmental Assets Profile. Child Indicators Research.

  • Scales, P. C., Benson, P. L., Leffert, N., & Blyth, D. A. (2000). Contribution of developmental assets to the prediction of thriving among adolescents. Applied Developmental Science, 4(1), 27–46.

    Article  Google Scholar 

  • Somers, C. L., & Fahlman, M. M. (2001). Effectiveness of the “Baby Think it Over” teen pregnancy prevention program. Journal of School Health, 71(5), 188–195.

    Article  PubMed  Google Scholar 

  • Spoth, R., Redmond, C., Shin, C., Greenberg, M., Clair, S., & Feinberg, M. (2007). Substance-use outcomes at 18 months past baseline: The PROSPER Community-University partnership trial. American Journal of Preventive Medicine, 32(5), 395–402.

    Article  PubMed  Google Scholar 

  • Stetler, C. B., Legro, M. W., Rycroft-Malone, J., Bowman, C., Curran, G., Guihan, M., et al. (2006). Role of ‘external facilitation’ in implementation of research findings: A qualitative evaluation of facilitation experiences in the Veterans Health Administration. Implementation Science, 1, 23. doi:10.1186/1748-5908-1-23.

  • Stevenson, J. F., Florin, P., Mills, D. S., & Andrade, M. (2002). Building evaluation capacity in human service organizations: A case study. Evaluation and Program Planning, 25(3), 233–243.

    Article  Google Scholar 

  • Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., et al. (2008). Bridging the gap between prevention science and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41, 171–181.

    Article  PubMed  Google Scholar 

  • Wandersman, A., & Florin, P. (2003). Community interventions and effective prevention: Bringing researchers/evaluators, funders and practitioners together for accountability. American Psychologist, 58(6/7), 441–448.

    Article  PubMed  Google Scholar 

  • Wandersman, A., Imm, P., Chinman, M., & Kaftarian, S. (2000). Getting to outcomes: A results-based approach to accountability. Evaluation and Program Planning, 23, 389–395.

    Article  Google Scholar 

  • Weiss, E., Miller-Anderson, R., & Lasker, R. (2002). Making the most of collaboration: Exploring the relationship between partnership synergy and partnership functioning. Health Education and Behavior, 29, 683–698.

    Article  PubMed  Google Scholar 

  • Wenger, E., McDermott, R., & Snyder, W. M. (2002). Cultivating communities of practice. Boston, MA: Harvard Business School Press.

    Google Scholar 

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Chinman, M., Acosta, J., Ebener, P. et al. Establishing and Evaluating the Key Functions of an Interactive Systems Framework Using an Assets-Getting to Outcomes Intervention. Am J Community Psychol 50, 295–310 (2012). https://doi.org/10.1007/s10464-012-9504-z

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